한국어판 측두하악장애 연구진단기준 (RDC/TMD) 설문지의 신뢰도에 관한 연구 Reliability of the Korean Version of Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)원문보기
한국어판 측두하악장애 연구진단기준(RDC/TMD) 설문지의 신뢰도를 분석하기 위하여 서울대학교 치과병원 구강내과에 내원한 154명의 턱관절장애 환자들(남자 31명, 여자 123명)에게 한국어판 RDC/TMD 설문지를 작성하게 하였다. 검사-재검사 신뢰도는 동일한 피검자에게 1주 내지 2주 간격으로 같은 설문지를 작성토록 하였다. 설문지의 검사-재검사가 완료되기 전까지는 환자에게 어떠한 치료도 제공되지 않았다. 첫번째 검사로 본 통증강도(pain intensity), 장애점수(disability score), 악기능장애(jaw disability) 및 심리사회적 상태(psychosocial status)의 내적 일관성(internal consistency)의 신뢰도는 크론바흐-알파(Cronbach’s alpha) 계수로 각각 0.92, 0.94, 0.68, 0.94 였다. 검사-재검사 신뢰도의 각 설문항목별 상관계수는 0.40에서 0.94까지의 범위로 나타났으며, 각각의 세부 항목별 등급내 상관계수(intra-class correlation coefficient; ICC)는 0.81에서 0.93의 범위로 나타났다. 만성통증척도(Graded Chronic Pain)의 검사-재검사 신뢰도계수는 0.63이었다. 한국어판 RDC/TMD 설문지는 좋은 신뢰도를 보였으며, 한국인의 측두하악장애 환자들에서 심리사회적측면을 분석하는데 유용하게 사용될 수 있다.
한국어판 측두하악장애 연구진단기준(RDC/TMD) 설문지의 신뢰도를 분석하기 위하여 서울대학교 치과병원 구강내과에 내원한 154명의 턱관절장애 환자들(남자 31명, 여자 123명)에게 한국어판 RDC/TMD 설문지를 작성하게 하였다. 검사-재검사 신뢰도는 동일한 피검자에게 1주 내지 2주 간격으로 같은 설문지를 작성토록 하였다. 설문지의 검사-재검사가 완료되기 전까지는 환자에게 어떠한 치료도 제공되지 않았다. 첫번째 검사로 본 통증강도(pain intensity), 장애점수(disability score), 악기능장애(jaw disability) 및 심리사회적 상태(psychosocial status)의 내적 일관성(internal consistency)의 신뢰도는 크론바흐-알파(Cronbach’s alpha) 계수로 각각 0.92, 0.94, 0.68, 0.94 였다. 검사-재검사 신뢰도의 각 설문항목별 상관계수는 0.40에서 0.94까지의 범위로 나타났으며, 각각의 세부 항목별 등급내 상관계수(intra-class correlation coefficient; ICC)는 0.81에서 0.93의 범위로 나타났다. 만성통증척도(Graded Chronic Pain)의 검사-재검사 신뢰도계수는 0.63이었다. 한국어판 RDC/TMD 설문지는 좋은 신뢰도를 보였으며, 한국인의 측두하악장애 환자들에서 심리사회적측면을 분석하는데 유용하게 사용될 수 있다.
Objectives: The aim of this study was to analyze the reliability of the Korean language version of the Research Diagnostic Criteria for Temporomandibular Disorders(RDC/TMD) axis II questionnaire among TMD patients. Methods: The Korean version of the RDC/TMD questionnaire was distributed to 154 TMD p...
Objectives: The aim of this study was to analyze the reliability of the Korean language version of the Research Diagnostic Criteria for Temporomandibular Disorders(RDC/TMD) axis II questionnaire among TMD patients. Methods: The Korean version of the RDC/TMD questionnaire was distributed to 154 TMD patients(31 men, 123 women) who visited Seoul National University Dental Hospital. The test-retest reliability was also assessed among the same subjects with a one- or two-week time interval. The subjects did not receive any form of therapy until the retest administration was completed. Results: The internal consistency reliability of pain intensity, disability score, jaw disability, and psychosocial status were 0.92, 0.94, 0.68, and 0.94, respectively using the Cronbach's alpha coefficient of the 1st test. Test-retest reliability coefficients of each items of the questionnaire ranged from 0.40 to 0.94 assessed with kappa value, and the intra-class correlation coefficient(ICC) for each subscale ranged from 0.81 to 0.93. Test-retest reliability coefficient of the graded chronic pain(GCP) scale was 0.63. Conclusions: The Korean language version of RDC/TMD axis II questionnaire demonstrated good reliability. It can be used as a valuable instrument for the analyses of the psychosocial aspects of the TMD patients in Korea.
Objectives: The aim of this study was to analyze the reliability of the Korean language version of the Research Diagnostic Criteria for Temporomandibular Disorders(RDC/TMD) axis II questionnaire among TMD patients. Methods: The Korean version of the RDC/TMD questionnaire was distributed to 154 TMD patients(31 men, 123 women) who visited Seoul National University Dental Hospital. The test-retest reliability was also assessed among the same subjects with a one- or two-week time interval. The subjects did not receive any form of therapy until the retest administration was completed. Results: The internal consistency reliability of pain intensity, disability score, jaw disability, and psychosocial status were 0.92, 0.94, 0.68, and 0.94, respectively using the Cronbach's alpha coefficient of the 1st test. Test-retest reliability coefficients of each items of the questionnaire ranged from 0.40 to 0.94 assessed with kappa value, and the intra-class correlation coefficient(ICC) for each subscale ranged from 0.81 to 0.93. Test-retest reliability coefficient of the graded chronic pain(GCP) scale was 0.63. Conclusions: The Korean language version of RDC/TMD axis II questionnaire demonstrated good reliability. It can be used as a valuable instrument for the analyses of the psychosocial aspects of the TMD patients in Korea.
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문제 정의
Therefore there is a need to translate the original RDC/TMD into Korean language to assess TMD in the local population for multicenter comparison. The present study was carried out with the aim of translating the RDC/TMD into the Korean language and assessing its reliability and validity in the Korean people.
제안 방법
On the first visit of the patient, an examiner who was a dentist specialized in TMD and orofacial pain, told them brief information for the Korean version of RDC/TMD axis II questionnaire and the patients completed the questionnaire. One or two weeks later, on the second visit of the patients, the questionnaire was drawn up once again using the simple blind technique.
On the first visit of the patient, an examiner who was a dentist specialized in TMD and orofacial pain, told them brief information for the Korean version of RDC/TMD axis II questionnaire and the patients completed the questionnaire. One or two weeks later, on the second visit of the patients, the questionnaire was drawn up once again using the simple blind technique. During this interval, no one received any treatment for their TMD pain.
Method of assessing depression and somatization was derived from Symptom Checklist-90-Revision (SCL-90-R). Participants responded to 13 items of depression parameter and 7 items of an additional parameter of the SCL-90-R, and then resultant raw mean score was regarded as depression scale. Somatization scale was also obtained by raw mean score from the responses to 12 items of non-specific physical symptoms of SCL-90-R.
Graded Chronic Pain (GCP) scale was obtained from pain intensity, disability days, and disability score. The GCP scale was also used to evaluate the physical status of the patients. The test-retest reliability of GCP scale was 0.
The RDC/TMD axis II questionnaire includes three questions to pain intensity of Graded Chronic Pain scale: one for the actual pain, one for maximal pain in the last 6 months, and one for average pain in the last 6 months. The response options for each of the three items were based on the ordinal rating of 0 to 10 scales.
The RDC/TMD axis II questionnaire consisted of 31 questions covering information devoted to demographics and psychosocial assessment. The parameters of psychological profiles including depression, somatization (including or excluding pain items), jaw disability, pain intensity, disability days, disability score, and Graded Chronic Pain scale were analyzed. Method of assessing depression and somatization was derived from Symptom Checklist-90-Revision (SCL-90-R).
대상 데이터
The subjects were the consecutive patients who visited the Orofacial Pain Clinic, Department of Oral Medicine in Seoul National University Dental Hospital with the complaint of TMD pain, from November, 2002 to September, 2003. The number of subjects was 154 (men: 31, women: 123) and age ranged from 15 to 63 years. Table 1 shows the demographic distribution of the subjects by gender and age.
The subjects were the consecutive patients who visited the Orofacial Pain Clinic, Department of Oral Medicine in Seoul National University Dental Hospital with the complaint of TMD pain, from November, 2002 to September, 2003. The number of subjects was 154 (men: 31, women: 123) and age ranged from 15 to 63 years.
이론/모형
Graded Chronic Pain (GCP) scale was obtained from pain intensity, disability days, and disability score. The GCP scale was also used to evaluate the physical status of the patients.
The parameters of psychological profiles including depression, somatization (including or excluding pain items), jaw disability, pain intensity, disability days, disability score, and Graded Chronic Pain scale were analyzed. Method of assessing depression and somatization was derived from Symptom Checklist-90-Revision (SCL-90-R). Participants responded to 13 items of depression parameter and 7 items of an additional parameter of the SCL-90-R, and then resultant raw mean score was regarded as depression scale.
성능/효과
In conclusion, the Korean version of the RDC/TMD axis II questionnaire was found to be a reliable instrument for the analysis of TMD and chronic orofacial pain symptoms. This study has provided a valid and reliable cross-culturally adapted instrument for TMD researchers in Korea that will allow comparison with data from other international studies.
94 analyzed with kappa value (Table 3). Test-retest reliability of each subscale measured by intraclass coefficients (ICC) were 0.85, 0.93, 0.88, 0.81, 0.92, 0.88, and 0.86; pain intensity, disability days, disability score, jaw disability, depression, somatization including pain, and somatization excluding pain items, respectively (Table 4).
후속연구
In conclusion, the Korean version of the RDC/TMD axis II questionnaire was found to be a reliable instrument for the analysis of TMD and chronic orofacial pain symptoms. This study has provided a valid and reliable cross-culturally adapted instrument for TMD researchers in Korea that will allow comparison with data from other international studies.
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